as part of an ongoing digital archiving project. http ... · The Department of Human· Services,·....

23
This document is made available electronically by the Minnesota Legislative Reference Library as part of an ongoing digital archiving project. http://www.leg.state.mn.us/lrl/lrl.asp A FACILI1Y OF TIIE MINNESOTA DEPARTMENT OF HUMA)ll SERVICES RESIDENTIAL PROGRAM MANAGEMENT DIVISION An Equal Opportunity /Affirmative Action EmplOyer

Transcript of as part of an ongoing digital archiving project. http ... · The Department of Human· Services,·....

Page 1: as part of an ongoing digital archiving project. http ... · The Department of Human· Services,·. in partnership with the federal govern ment, county and other public, private,

This document is made available electronically by the Minnesota Legislative Reference Library as part of an ongoing digital archiving project. http://www.leg.state.mn.us/lrl/lrl.asp

A FACILI1Y OF TIIE MINNESOTA DEPARTMENT OF HUMA)ll SERVICES RESIDENTIAL PROGRAM MANAGEMENT DIVISION

An Equal Opportunity /Affirmative Action EmplOyer

Page 2: as part of an ongoing digital archiving project. http ... · The Department of Human· Services,·. in partnership with the federal govern ment, county and other public, private,

MINNESOTA DEPARTMENT OF HuMANSERVICES

MISSION STATEMENT

The Department of Human· Services,·. in partnership with the federal govern­ment, county and other public, private, and .community agencies throughout Minnesota, is a state agency directed by law to assist those citizens whose personal or family resources are not adequate to meettheir basic human needs. It is committed to helping them attainthe maximum degree of self-sufficiency consistent with their individual capabilities. To these ends, the Department will promote the dignity, safety, and rights_of the individual, and will assure puplic accountability andtrust through responsible use of available resources.

Page 3: as part of an ongoing digital archiving project. http ... · The Department of Human· Services,·. in partnership with the federal govern ment, county and other public, private,

FERGUS FALLS REGIONAL TREATMENT CENTER North Union Avenue · Box 157

Fergus Falls, Minnesota 56538-0157 (218)739-7200

Michael S. Ackley Leonard E. Woytassek, M.D. Interim Chief Executive Officer Medical Director

ACCREDITED BY THE JOINT CoMIWllMION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS

February 1993

Dear Friends,

I am pleased to release the fiscal year 1992 report for the Fergus Falls Regional Treatment Center. The data and information contained in this report define service and utilization from July 1, 1991 through June 30, 1992.

Since our last report there have been many changes at the Center. Ms. Elaine Timmer, formerly the FFRTC CEO accepted a transfer to Anoka Metro RTC as CEO on August 17, 1992. Due to community placement and a corresponding declining client population, a Memorandum of Understanding (MOU) was implemented which resulted in the separation of twelve members of the Center staff. Capital improvement plans for the Center have also been placed on hold.

Each year brings new challenges to provide quality services for our clients and to serve the citizens of Minnesota in the most effective and efficient manner possible. Integration of clients into the community continues to be a priority but the need for residential services at the FFRTC remains an essential part of our Northwest and West Central Minnesota continuum of care.

The philosophy of Continuous Quality Improvement has been adopted as the model for the FFRTC. Under this mode new methodologies have been set forth to involve "customers" and staff in a cooperative effort to improve the quality of care and ~ervices the Center provides.

Our continued success requires the willingness to be open to changes and to explore new and innovative ways in which we can work cooperatively and effectively with our partners in the health care system. We continue our dedication to that effort.

Sincerely,

'JrtJvfls .-4.~ Michael~ey Interim Chief Executive Officer

A FACILI1Y OF mE MINNESOTA DEPARTMENT OF HUMAN SERVICES RESIDENTIAL PROGRAM MANAGEMENT DIVISION

An Equal Opportunity I Affirmative Action Employer

2

Page 4: as part of an ongoing digital archiving project. http ... · The Department of Human· Services,·. in partnership with the federal govern ment, county and other public, private,

FERGUS FALLS REGIONAL TREATMENT CENTER

MANAGEMENT GROUP

MICHAELS.ACKLEY - Interim Chief Executive Officer··················· (218) 739-7260

LEONARD E. WOYTASSEK, M.D. - Medical Director···················· ·(218) 739-7430

CAROL HOVLAND - Program Director - Drug Dependency Division · · · · · · · · · (218) 739-727 4

WILLIAM KLEIN - Program Director - Mental Health Division· · · · · · · · · · · · · · (218) 739-7263

MICHAEL FITZGERALD - Program Director - Developmental Disability Division (218) 739-7329

CONNIE SWENSON, R.N. - Director of Nursing························· (218) 739-7250

DAVID AANEs - Director - Planning and Evaluation· · · · · · · · · · · · · · · · · · · · · · · (218) 739-7206

DOUGLAS BOYER - Director - Personnel Department · · · · · · · · · · · · · · · · · · · · · · (218) 739-7294

NEIL HERMAN - Director- Staff Development Department················· (218) 739-7366

Page 5: as part of an ongoing digital archiving project. http ... · The Department of Human· Services,·. in partnership with the federal govern ment, county and other public, private,

FFRTC i

Page 6: as part of an ongoing digital archiving project. http ... · The Department of Human· Services,·. in partnership with the federal govern ment, county and other public, private,

f,·,!.

Admissions - Discharges - Average Daily Census

Fiscal Year.1991..,1992

Admissions · ·. Discharges Tgtal. PatientL ADC Resident D~s

MI 297 (12) 330 (16) 38,116. 101 DD 8 (1) 19 40,665 111 CD 577 (15) 601 (12) 12.057 33 .·.-

Total: 882 (28) 950 (28) 90,838 245 ( ) - transfers in or out from other FFRTC programs

Average Daily Census Fiscal Year

1988 .

CD . 24.0-Yo

28 .• MI

._47.3%

.--DD

DD - Developmental Disability

1988 1989 1990

MI-Mental Illness

1991 1992

1992

CD - Chemical Dependency

Page 7: as part of an ongoing digital archiving project. http ... · The Department of Human· Services,·. in partnership with the federal govern ment, county and other public, private,

6

Admissions For Fiscal Year 1991-1992

Chemical Dependency Mental Illness Developmental

Disability L i L GI "'Cl 0 GI "'Cl 0

.,, f! "E 0 i 0 "E 0 0 0 0 ..c "'Cl o~ 0 ..c 0 ..c I'll

0 u 1l '"ti ~ ~ 0 "'Cl "'Cl ~ ~ ~ 0 "'Cl -

-~ 0 --;; .~ c L -;; c ....I L -;; c L ....I L c f ....I ..c GI ~

GI g GI ..c GI ~ g GI GI E E t: p_o E p_o Q. E E t: p_o Q. p_o 0 g L ll"l L L ll"l Q. .e E ::J GI c .e GI GI .e E ::J GI c

E GI E 0 0 E s E E 0 0 E f E .5 u u GI .5 GI I- .5 u u GI .... I- GI $ I-

Becker 15 3 4 3 9 20 54 19 3 1 42 1 47 17 1 1 Clay 40 1 10 1 2 6 60 12 4 2 16 31 53 11 1 1 Douglas 1 2 1 11 15 5 2 3 31 36 13 1 1 Grant 1 17 18 30 1 2 3 5 Otter Tail 26 2 5 2 75 191 301 60 2 1 64 67 13 1 1 Pope 4 4 4 1 8 9 9 Stevens 1 5 6 6 7 7 7 Traverse 4 1 5 13 4 4 9 Wilkin 16 9 5 30 40 1 1 4 6 8

Subtotal 102 7 21 6 98 259 493 25 14 2 22 193 1 232 12 4 4 Kittson 1 1 2 Mahnomen 1 1 2 1 4 5 10 1 1 Marshall 1 1 1 2 1 3 3 Norman 1 2 3 1 7 9 Pennington 2 2 4 3 1 8 9 7 2 2 Polk 8 2 1 3 14 4 1 4 1 3 9 3 1 1

Red Lake 1 1 2 Roseau 1 1 1 2 2 4 3

Subtotal 10 6 1 4 21 3 4 18 4 12 1 39 4 Other* 17 16 16 4 10 63 1 4 1 8 12 26

TOTAL 129 29 21 6 16 103 273 577 19 24 27 213 14 297 4 4 8

• Other admissions by county

C.D. M.I. D.D. C.D. M.I. D.D. C.D. M.I. D.D. Anoka 2 4 Dakota 2 Olmsted 2 Beltrami 5 Dodge Ramsey 4 6 Benton Fanbault St. Louis 2 Blue Earth 2 Fillmore Steams 2 2 Brown 1 Hennepin 9 9 Steele 2 Cass 5 2 Hubbard Todd

Chippewa Koochiching Wadena 5 Chisago Martin Washington 2 Clearwater Meeker Watonwan 2 Crow Wing Nobles 2 Winona

Yellow Medicine 2 Non· Resident 1

Key: C.D. =Chemical Dependency M.I. =Mental Illness D.D. =Developmental Disability

Page 8: as part of an ongoing digital archiving project. http ... · The Department of Human· Services,·. in partnership with the federal govern ment, county and other public, private,

7

Admissions by County of Residence for Fiscal Year 1991-92

lLAKE ' !,!>! J:~_W,22,~J I

l I I I KOOCHICHIN~

6 L _r-----.

\ I ---- ~

l I \ BELTRAMI l~\ }\ ,-- --,- ,_,

( \ I I 7 I ITASCA \

2

I 1-----1 HUBBAR> f CASS l \.' ST. LOUIS ___ T'.J r------1 ------,

I I I \ 5 \ I )

l I \ l!~~~N--w~~~. I I I !'--.... CROW \ AITKIN \

I ( WING ;·--1 J t ------1 1--1 I I I u I

I I ~ ( w I ) MORRISONj ~ I ; I

TODD L s:_---- 3 j PINE -- - -- \BENTON I ~ l--- --

1 I I= l I · 4 )---l;; L1 o ' SHEFIBUIWE\ '!~.!!..\ ~ I

- - ..., STEARNS("" r ANOKA Lu I \ t--~ ........._l -· f--l~ __ s!'~~-J t I r~-,,6 fi ~

" CHIPPEWA : I MEEKE_!!l. _!RIG_!!r( I 8 '{i ~ ~ I ~votnL r T 1 HENNEPIN~~'

LAcau1PAur "',-- --- -1 I '---, ' 1 ~ ---.:J \l. \ McLEOD I CARVER(.!..- / I

YELLOW MEDICINE ""-.. RENVILLE ri___,--J.\..~ 1 2 --..,----12 • ..... I "' 'DAKOTA

Non-Resident: I

I I Y------' \ ""- .f I t--U ""'-.... ] \ SIBLEY ~-!.C~!!-f {

I 1 . '""" N1coLLET { 1 1 r I I \ I L..SUEUR I

LINCOLN L LYON • REDwooor- I ), r' -.., i RICE +GOODHUE L!'ABASHrA --,---..&,--.... BROWN I ..... ,... r-L.r-- ---r L-I 1 L-r---i ' I ' ' 2 1 I I I I 2 1 2 I I 2 I I I I I L \ I WINONA

PIPfSTC>NE1 MURRAY I COTTONWOOD I WATOWAN 11.UEEARTtt WASECA' STEELE J DODOE( OLMST~-L---r---- ___ .....,_ ____ _,__ --- r---L...r------1--t.--r-1 I I 1 I \ I I 2 I I I l I I I I I l

ROCK I NOBLES I JACKSON MARTIN FARIBAULT l FREEBOIW I MOWER I RLLMORE HOUSTON

- Represents FFRTC Receiving Area

Accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

Page 9: as part of an ongoing digital archiving project. http ... · The Department of Human· Services,·. in partnership with the federal govern ment, county and other public, private,

FFRTC

Page 10: as part of an ongoing digital archiving project. http ... · The Department of Human· Services,·. in partnership with the federal govern ment, county and other public, private,

Annual Report of Operating Budget For The Year Ending June 30, 1992

Ronald Louks, Business Manager

Developmentally Mentally Chemically Disabled m Dependent

Patient days 40,665 38,148 11,828

SALARY EXPENSES: Direct 7,650,497 5,157,192 1,167,627

Indirect 3,147,267 3,251,061 593,004

10,797,764 8,408,253 1,760,631

GENERAL EXPENSES:

Current Expense

R & B/Spec Project

Resident Furn.

Spec. Equipment

TOTAL FUNDS EXPENDED ANNUALLY

REIMBURSEMENT REVENUE:

Developmentally Mentally Chemically Disabled m Dependent

Revenue 10,956,239 2 3,765,991 2,425,469

Net State Funding Assistance

TOTALS

90,641

13,975,316

6,991,332

20,966,648

1,692,499 1

226,500

22,960

14,558

22,922,895

TOTALS

17,147,699

(5,775,196)

Note: These figures represent only direct costs at this facility and do not include DHS Central Office, DOER personnel services, Depreciation, and Bonding costs.

1 Includes CCDIF Expense Transfers affecting Current Expense. 2 Revenues. include cash collected for MI and MR plus estimated poor relief. CCDIF includes cash collected and

accounts receivable.

Page 11: as part of an ongoing digital archiving project. http ... · The Department of Human· Services,·. in partnership with the federal govern ment, county and other public, private,

25

20

. ~ 15 = Q •• = •• 6 10

5

0

TOTAL COSTS vs NET STATE FUNDING ASSISTANCE

Total Costs

1987 1988 1989 1990 1991 1992

-·--------···· Net State Funding

---...,; Assistance

10

Page 12: as part of an ongoing digital archiving project. http ... · The Department of Human· Services,·. in partnership with the federal govern ment, county and other public, private,

FERGUS FALLS REGIONAL TREATMENT CENTER

PROGRAM ADVISORY C01\1MITTEE MEMBERS

Mental Health Division

JOYCE COLE - Wheaton GARY ERICKSON - Polk County THOMAS FAWCETT - Fergus Falls DAVID FJOSLIEN - Brandon KERMIT HANSON - Thief River Falls DOROTHY HANSON - Thief River Falls BONNIE HAUGEN - Moorhead·· Marilyn Moen - Lakeland Mental Health Center FATHER EB SCHEFERS - Glenwood

DRUG DEPENDENCY

JERRY GULLICKSON . ..; Moo!head ROBERT HoFFMAN - Richville CARMON JACKSON - Fergus Falls J. MICHAEL JOHNSON - Moorhead LEVI MAHLEN - Erskine GARY HOLEN - Fergus Falls LYNN BERGE - Detroit Lakes

SRRC DAY PROGRAM

ROSE KAPPES - CTAC 5 DAVID LEABO - Home Owners Savings Bank BARB GUTZMER - Middle School RoN BECKER - Becker Realty LARRY MERXBAUER - Productive Alternative DENNIS HITE - Riverfront Video TONI MERDAN - RTC Coalition

Page 13: as part of an ongoing digital archiving project. http ... · The Department of Human· Services,·. in partnership with the federal govern ment, county and other public, private,

~i

il ·~

FFRTC

I

I I I I

l1

Page 14: as part of an ongoing digital archiving project. http ... · The Department of Human· Services,·. in partnership with the federal govern ment, county and other public, private,

13

=== State Regional Residential Center === Michael R. Fitzgerald, Division Manager

The goal of the SRRC is to provide quality residential and day habilitation services to developmentally disabled clients. The program attempts to reduce dependency while assuring that health, safety and development is provided for each individual.

During the past year, we implemented the Memorandum of Understanding (MOU). This is a process in which we are required to reduce the number of staff based upon our population. As a result of the MOU implementation, 12 positions were eliminated. To assist in reducing the impact of lay-offs, we reassigned staff to vacancies in other divisions and did not fill vacant positions.

The Developmental Disabilities program faces many challenges during the upcoming year. The program will aggres­sively pursue a new course of direction that will utilize our experienced and trained staff in providing quality services. These new services will include a Foster Care Program located on one of the Center's individual residences in the community.

Residential Services

We continue to provide service to 111 individuals on campus. Our residential units have become smaller as the popula­tion has declined. This is a benefit for both residents and staff. During the upcoming year, we will pursue the develop­ment of off-campus residential services.

Day Program Services

The Day Program Services continues it's emphasis on vocational activities for which the clients are paid commensurate wages for their work. The goal of the DPS is to have all the clients served working for pay, regardless of their level of productivity. We have expanded the variety of vocational experiences our clients receive and are providing them with vocational experiences in woodworking, assembly work, housekeeping, plant operations, and paper shredding .

••••••••••••••••••••••••••••••••••••••••••• I ·~ . --·

-· .............. ,'..-.-·.· ) ·······(····································· Behavior Therapy Department North Country Options Evaluation and Training Center

Admissions Fiscal Year 1990 - 1991

AGE Group Male Female Totals 12-18 0 0 0 (00%) 19-25 0 2 2 (25%) 26-39 3 I 4 (50%) 40-55 8l over I I 2 (25%)

Totals 4 (50%) 4 (50%) 8 (100%)

Page 15: as part of an ongoing digital archiving project. http ... · The Department of Human· Services,·. in partnership with the federal govern ment, county and other public, private,

14

Supported Employment

The Supported Employment program has a mobile work crew of four clients providing cleaning services at two downtown businesses and eight private homes. The program is working well and is expected to continue to expand.

North Country Options

North Country Options is in it's second year and the program is doing well. The store does a good business and the clients served there are just keeping up with the demand for the products they make.

Orchard Ridge Driving Range Orchard Ridge Driving Range was open this year from late April to early October with clients working at various jobs. This golf driving range was used extensively by both the public and the three disability groups at the RTC.

Community Support Services

These services were created to help maintain continued community placement of challenging clients. RTC's were encouraged to provide these special services because of their expertise in dealing with the most difficult cases.

We had excellent success in our first year of offering these services with Behavior Analysts, HSTs, Pharmacist, Special Teacher, Occupational Therapist, and QMRP's participating. Our results were as followed:

· 28 of 57 service activities resulted in diverting the admission. · 31 of 57 contacts involved past clients of the DD Division · 77% of total service time was spent off the campus ofFFRTC · 60% of the service time was used to conduct on-site assessment and staff training

Our Community Support Services has just completed a successful first year, and we are in the process of expanding these services as we strive to meet the needs of our customers. To increase the awareness of this program to potential customers in the community, we are planning a mailing of a special brochure describing the various services we are presently offering.

County Meetings On-Site

Assessment

Douglas 14 30 Grant 0 12

Mahnomen 0 14 Marshall 0 36

Otter Tail 0 0 Pennington 0 0

Polk 16 0 Red Lake 0 9 Roseau 0 0

Total Units 30 101

Units of Community Support Services

Provided During 1991-92

Telephone Consulting Write-up

6 0 16 1 0 0 4 0 0 5 0 16 0 0 0 5 0 3 3 0 0 5 0 0 5 48 6

34 48 41

* Unit= 30 minutes

Program Staff Total Units Review Training

0 8 74 0 12 25 0 0 18 8 16 81 0 14 14 0 24 32 12 102 133 1 0 15 0 0 59

21 176 451

Page 16: as part of an ongoing digital archiving project. http ... · The Department of Human· Services,·. in partnership with the federal govern ment, county and other public, private,

Mental Health Division William Klein, Division Manager

This past year has been an exciting year for the Mental Health Division. We have worked on our objectives to provide effective mental health care of the highest quality to our clientele.

Accomplishments · Once again, we have received very positive results from the Health Care Finance Administration (HCFA) over our program. · We have maintained accreditation with the Joint Commission of Health Care Organizations (JCAHO). ·We have maintained our licensed status with the State of Minnesota Rule 36. · We have reduced our overall staffing complement, but we remain staffed with sufficient professionals and paraprofessionals in all vital areas. · We continue to have available a diversity of educational programs for patients, and we have added new therapy groups to meet changing needs. · We have used feedback from consumer satisfaction surveys to make improvements in our admission and discharge processes. · We have increased the availability of family services, and we have a more structured family education support group program. · We have continued implementation of continuous quality improvement, using modem management techniques, and we have begun staff training in this area. · We have increased the use of the computer for tracking data, such as seclusion and restraint statistics.

The Mental Health Division of the Fergus Falls Regional Treatment Center serves a diverse clientele. It has the expertise to treat individuals who have an acute mental illness, individuals with multiple diagnoses, and individuals with behavior management problems. The Division serves people within the State of Minnesota, but primarily within the seventeen county district in the northwest comer of the State of Minnesota .

•••••••••• ,..... . .

Bill Klein

.• Jllll.••··········~··

"Special Friends" - Volunteers

Admissions Fiscal Year 1991 - 1992

AGE Group 18-29 30-39 40-49 50-59 60 & Over

Totals

Male 49 64 28

8 3 I

180 (61%)

Female 32 31 27 5

22 117 (39%)

Totals 81 (27%) 95 (32%) 55 (19%) 13 (4%) 53 (18%)

297 (100%)

Rehabilitation Services

Page 17: as part of an ongoing digital archiving project. http ... · The Department of Human· Services,·. in partnership with the federal govern ment, county and other public, private,

The average daily census of patients on the Division has remained very stable over the past four years. We are receiving more patients with serious and persistent mental illness, with additional problems of chemical dependency, which exacer­bates the psychiatric symptoms and makes treatment more difficult. In addition, the number of voluntary patients has continued to decrease with a concomitant increase in emergency admissions.

16

The Mental Health Division believes in the uniqueness, the potential, and the worth and dignity of each person served. It believes that the people receiving care and treatment will recover and return to the community with the opportunity to resume a productive life. The Mental Health Division is committed to seeking excellence in services and programs for clients and their families. Central to Mental Health Division Programs is the concept of milieu therapy, which holds that the daily life experiences of people served can be used therapeutically to teach and to promote individual responsibility and independence.

Mental Health Services

· Individual Therapy · A.l.D.S. Educational Training · Communications Groups · Discharge Support Groups · Medication Therapy · Reality Therapy · Relaxation Therapy · Recreational Therapy · Remotivation Therapy · Reminiscence Groups · Health Education Groups · Self-Control Groups · Medication Education · Chemical Dependency Groups for Mentally Ill · Cooking and Baking Group · Families of Mentally Ill Support Groups

· Grooming Skills Training · Language Stimulation Groups · Psychogeriatric Day Program · Family Therapy ·Psychological Testing and One-to-One Counseling · Shopping Groups ·Self-Help, Activities of Daily Living One-to-One Therapy

· Coping Skills Training · Exercise Groups ·Feelings Group · Current Events Group · Independent Living Skill Development Groups · Occupational Therapy · Money Management Training · Pet Therapy

••••••••••••••••••••••••••••••••••••

Picnic Caroling - Volunteers

·Self-Esteem Training · Psychogeriatric Work Program (S.T.E.P.) · Sensory stimulation ·Validation Therapy · Group Therapy

Employee Recognition

· Industrial Therapy · Physical Therapy · Spiritual Counseling and Religious Services · Survivors Group

Page 18: as part of an ongoing digital archiving project. http ... · The Department of Human· Services,·. in partnership with the federal govern ment, county and other public, private,

17

_ Drug Dependency Rehabilitation Center === Carol Hovland, Division Manager

The Drug Dependency Rehabilitation Center offers a variety of care options for males and females, ages 12 and older, providing treatment programs most suited to individual needs. The program is based on the principles of Alcoholics Anonymous.

PROGRAMS Primary: Short-term programs for males and females who have had minimal prior treatment. Extended: Intensive program for males and females who have had prior treatment, and may have secondary mental illness problems. Halt: Secure program for males and females who have a history of previous treatment elopements. Adolescents: Integrated program for adolescents with primary problem of chemical dependency. Outpatient: Structured program of four weekly sessions for four weeks and twelve weekly aftercare sessions. Family: Live-in program for family members/significant others and chemical dependency professionals. DWI Clinic: Two day live-in educational program for persons charged with DWI. Shared Services Program: DDRC has a Shared Services agreement with Clay County Social Services Department to provide one counselor and administrative services for the Clay County Outpatient Program. Chemical dependency counseling services are provided to Pelican Rapids High School one day a weelc

All inpatient programs are located on one floor, providing for a more effective and efficient utilization of staff resources.

The climate surrounding chemical dependency treatment requires an continuing evaluation of the programs provided, in an attempt to meet the ongoing demands and ever-changing needs of customers. Our goal is to provide quality rehabilitation and restore dignity and respect to those we serve.

The average daily census on DDRC has shown a slight increase in the past fiscal year, which has allowed us to increase our staff resources to enhance the treatment program. A partnership with referring counties continues to be the strength of our program .

•••••••••••••••••••••••••••••

. . . , ... ,...... . . .. tilt r r ~ , "·~~ . > , .•...• . . •••••••••••••••••••••••••••••••••••••••••••• Carol Hovland Community Involvement - V.F. W. & Auxilaty Treatment Planning

Admissions Fiscal Year 1990 -1991

AGE Group Male Female Totals 12-18 32 11 43 (7%) 19-25 82 31 113 (20%) 26-39 174 55 229 (40%) 40-55 115 26 141 (24%) 56 ~Over ~2 9 SI (92Q

Totals 445 (77%) 132 (23%) 577 (100%)

Page 19: as part of an ongoing digital archiving project. http ... · The Department of Human· Services,·. in partnership with the federal govern ment, county and other public, private,

FFRTC

Page 20: as part of an ongoing digital archiving project. http ... · The Department of Human· Services,·. in partnership with the federal govern ment, county and other public, private,

Medical Department Leonard E. Woytassek, M.D ., Medical Director

The Medical Department has undergone changes, some of which were necessary in order to meet HCF A and JCAHO requirements. In addition to th~ full-time Medical Director, who is 'also a Board Certified Psychiatrist, our Medical Staff presently consists of three full-time psychiatrists, two full-time Family Practition­ers, one General Practitioner, two full-time Adult Nurse Practitioners, one part­time Adult Nurse Practitioner, and one full-time Dentist. We also utilize the services of one contract psychiatrist to assist during vacations, and continue to recruit for one more full-time psychiatrist. The Medical Department also includes supervision of the Chief Pharmacist, the laboratory technicians, the Director of Nutrition Services, and the Office Assistant/Jarvis Coordinator. All Jarvis issues are handled in and through the Medical Director's office.

Our goal is to provide the best possible medical and psychiatric services to the patients of the Fergus Falls Regional Treatment Center.

The Medical Staff meets on a regular basis, with the Executive Committee of the Medical Staff meeting monthly and reviewing reports from active hospital com­mittees. The Quality Assurance, and Credentials and Privileges processes are in place.

Our contractual relationships remain with the Fergus Falls Medical Group and with Lake Region Hospital to provide additional medical care necessary for our patients. We contract with Smithkline Beecham Laboratories in Minneapolis for all laboratory testing, with emergency tests being done at· Lake Region Hospital. We also contract with a neurologist for services at FFRTC.

FFRTC now has a registered Clozaril treatment system, which means that we can dispense Clozaril and do our own blood monitoring.

A recent HCF A survey of the Mental Health Division of FFRTC was held. There were no reported major deficiencies.

The Medical Staff has recently completed revising/updating the Medical Staff Bylaws and the Medical Staff Rules and Regulations to more accurately represent the actual organization of the Medical Staff. The Governing Board has approved them.

The Pharmacy has recently hired a new pharmacist to replace one who resigned.

Page 21: as part of an ongoing digital archiving project. http ... · The Department of Human· Services,·. in partnership with the federal govern ment, county and other public, private,

MEDICAL STAFF

Medical Director: ................................... Leonard E. Woytassek, M.D ., Psychiatrist

Psychiatrists: ...................................................................... Jarn.es K. O'Toole, M.D. Hien Darn., M.D.

Roberto R. Pagarigan, M.D.

Consulting Neurologist: ...................................................... Gilbert Westreich, M.D.

Consulting Psychiatrist: ........................................................ Ronald N. Berry, M.D.

Family Practice: ............................................................ Monika K. Botschner, M.D. Bruce A. Ver Steeg, M.D.

General Practice: ............................................................. Leonora A. Trajano, M.D.

Dental: ............................................................................... Jarn.es C. Koenig, D.D.S. Brenda Mergens, Registered Dental Assistant

Adult Nurse Practitioners: ................................................ Aletha Quam, RNC/ ANP La Vonne Beckler, RNC/ ANP

Pamla Greiner, RNC/ ANP

Jarvis Coordinator/Office Assistant: ................................................. Sandra Hanson

§

OTHER MEDICAL SERVICES

·Nursing · Phannacy

· Clinical Laboratory · Central Supply

· Occupational Therapy · Physical Therapy

· Speech Therapy ·Audiology

20

Page 22: as part of an ongoing digital archiving project. http ... · The Department of Human· Services,·. in partnership with the federal govern ment, county and other public, private,

21

Personnel Department Douglas C. Boyer, Personnel Director

Number of Employees .......................................................................................................... 564

Authorized Full-Time Equivalent ....................................................... : ............................. 503.97

Full& Part-Time .................................................................................................... ~ ........ 512

Temporary .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . . .. .. .. .. .. .. .. .. .. .. .. . 9

Intennittent ...................................................................................................................... 43

Developmental Disabilities ................................................................................. 190.32

Mental Health Division ....................................................................... · ................ 119.00

General Support .................................................................................................. 158.65

Chemical Dependency .......................................................................................... 36.00

Average Number of Employees during Fiscal Year 1992 ..................................................... 563

Employees Hired in Fiscal Year 1992 ..................................................................................... 43

Full & Part-Time ......................................................................................................... 4

Temporary................................................................................................................ 16

Intennittent . .. .. .. . . .. .. . . .. .. .. .. .. .. .. .. .. . . . . . . .. . . .. .. .. .. .. .. . . .. .. .. .. .. . . .. .. .. .. .. .. . . . . . . . . .. . . .. .. .. .. .. .. .. .. .. 23

Employee Separations in Fiscal Year 1992 ............................................................................. 51

Full & Part-Time .................................................................................................... *40

Temporary .. .. . . .. .. .. .. . . .. . . .. .. .. .. . . . . .. .. .. .. .. . . . . .. .. .. .. . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . . . . .. .. .. .. . . . 4

Intennittent .................................................................................................................. 7

Promotions . .. .. . . .. .. .. .. .. .. .. .. .. . . .. . . .. .. .. .. .. . . . . .. .. . . .. .. . . . . .. . . .. .. . . . . .. .. .. .. .. . . .. .. .. .. .. . . . . .. . . .. . . .. .. .. .. .. . . .. .. .. .. 30

Separation Rate for Fiscal Year 1992 - Regular

Full-Time/Part-Time .......................................................................................................... 7.7%

*Includes 2 separations by Memorandum of Understanding and 13 early retirements with insurance incentive.

Downsizing of the programs for the developmentally disabled and the chemically dependent has resulted in a two-year trend in which pennanent employee separatiOns have outnumbered pennanent employee hires by almost eight to one. Pennanent employee hiring is only being done for highly skilled/licensed positions.

Page 23: as part of an ongoing digital archiving project. http ... · The Department of Human· Services,·. in partnership with the federal govern ment, county and other public, private,

./'\_' .,;.

· General Support Services Michael S. Ackley, Assistant Administrator

A wide range of vital support services provide operational assistance to the treatmentprograms that make up the Fergus Falls Regional Treatment Center's therapeutic community. The General Support SeIVices also maintain the physical plant.of the faeility to insure an attractive, safe, and healthful therapeutic environment. -

General Support seIVices include the Dietary Department, Plant Operations Division (Engineer­ing, Construction, Pl~bing, Electrical, Laundry/Housekeeping, Grounds/Garage), the Chap- -laincy Department (Chaplain seIVices, Clinical Pastoral Education Program), the Financial Management Division (Business Office, Materials Control Center, Resident Bank, Canteen, Computer Center), the Typing C~nter, the Communications Center, the Advocate's Office, the Personnel Department (Personnel Office, Staff Development), the Planning and Evaluation Office (Quality Assurance Office, Medical Record Department, Library), .the Safety Depart­ment, and the Marketing ~d Public Relations Department (Community Relations, Marketing, Volunteer Services, Fergus Falls.Community College/Fergus Falls Regional TreatmentCenter Student.Live-In Program). · · ·

; FISCAL YEAR SERVICES 1992

DIET ARY DEPARTMENT Total mealsseIVed (well over half served were special .................................................. 279,435 therapeutic diet meals or texture modification diet meals)

PLANTOPERATIONS DIVISION Gross.buildingsquare feet ......................................................................... ; ...................... 863_,871 Maintenance seIVice requests ........................... -.... ; .................... ~················~ ... _ ..................... 5,223

- Major renovation projects completed ... ~ ........................................................... ~·~···· .. ···~···'"····· .. 3 Groundskeeping acres ..... _ ........... ~ ........................................................................ ;~ ................ 160 Housekeeping square feet ................ ~ .................. : ................................. ; .......................... 514,878 Total pounds of laundry processed ........................ .-....... ; ................................................. · 696,503

VOLUNTEER SERVICES DEPARTMENT Total hours of volunteer seIVice .~ .......................... ~ .. ~ ................................. _ .............. ; .... ~··· 18,124 Dollar value of volunteer seIVice ............................................... ; ....................... ~ ...... ; ..... 196,102 Dollar value of total donations're~ceived ...................................... '. ................................ : ... 22,850